ANSWERS (2024-2025),100% GUARANTEED
PASS A
The left spermatic cord is located in - ANSWER-LLQ
Structure located in the midline of the abdomen - ANSWER-aorta
uterus if enlarged
bladder if distended
Position of patient during inspection of the abdomen - ANSWER-supine
Position of patient's arms during inspection of the abdomen - ANSWER-down at sides
(raising arms will tense the abdomen)
Pneumoperitoneum - ANSWER-perforation in the bowel
Ascites - ANSWER-fluid in the abdomen
Peristalsis - ANSWER-wavelength movement of bowels (seen on patients in thin
patients)
Pulsations (especially midline) indicate - ANSWER-abdominal aortic aneurysm
Dilated blood vessels indicate - ANSWER-caput medusa
Caput medusa - ANSWER-associated with cirrhosis and increased pressure in the
portal vein
Striae - ANSWER-stretch marks from a number of sources- most commonly pregnancy
but could happen with obesity
When should you note scars and/or rashes? - ANSWER-as soon as the patient is
admitted
Valsalva maneuver - ANSWER-patient bears down to inspect if any areas become more
pronounced (could be a sign of a hernia)
, How is abdominal girth measured? - ANSWER-at the same time of day, after voiding
and with the patient in the same position
at the level of the umbilicus
Auscultation is the ______ step for abdominal assessment due to the risk of disturbing
the intestines with palpation and percussion which could cause sounds that were not
really present but only present because of the disturbances - ANSWER-second
What is the purpose of warming the stethoscope during auscultation of the abdomen? -
ANSWER-decreases guarding or tensing of the abdominal muscles
Should the bell or diaphragm of the stethoscope be used first for auscultation of the
abdomen? - ANSWER-bell
The bell of the stethoscope is used to listen midline over the abdominal aorta to
auscultate for a ______. You may also auscultate right and left renal arteries, iliac and
femoral arteries. - ANSWER-bruit
The ________ of the stethoscope should be used to listen over the 4 quadrants for
bowel sounds. - ANSWER-diaphragm
Bowel sounds may be more prominent in the ___ - ANSWER-RUQ
The _______ and ______ of bowel sounds should be heard - ANSWER-frequency and
quality
Normal bowel sounds occur anywhere from every _-_ seconds or _-__ seconds -
ANSWER-2-5 seconds
5-15 seconds
Bowel sounds should be listened to for _ minutes before noting that bowel sounds are
absent (bowel obstruction) - ANSWER-5 minutes
Inflammation of serosa (surface covering the intestine such as peritonitis) causes the
abdomen to be _______ - ANSWER-silent
Inflammation inside the intestines (diarrhea) will cause ________ _______ _______ -
ANSWER-hyperactive bowel sounds
If there is an obstruction and the intestines are trying to move contents through a small
opening will produce hyperactive bowel sounds int he beginning but then there is a
decrease in sounds called - ANSWER-tinkles
Patients who have had open abdominal surgery have an ____ after surgery and are
kept NPO - ANSWER-ileus